A Case Report of Atopic Dermatitis with Otitis Media with Effusion and Chronic Rhinitis

Article information

J Korean Med. 2021;42(1):110-118
Publication date (electronic) : 2021 March 01
doi : https://doi.org/10.13048/jkm.21008
1Department of Ophthalmology, Otolaryngology & Dermatology, College of Korean Medicine, Wonkwang University
2Department of Korean Medicine Acupuncture and Moxibustion, College of Korean Medicine, Wonkwang University
3Research Center of Traditional Korean Medicine, Wonkwang University
Correspondence to: Min-Cheol Park, Department of Ophthalmology, Otolaryngology and Dermatology, Wonkwang University Korean Medicine Hospital, 895 Muwang-ro, Iksan-si, Jeollabuk-do, 54538, Republic of Korea, Tel: +82-63-859-2821, Fax: +82-63-841-0033, E-mail: spinx11@wonkwang.ac.kr
Received 2020 October 31; Revised 2021 February 8; Accepted 2021 February 18.

Abstract

Objectives

This study aims to report a case of atopic dermatitis with otitis media with effusion and chronic rhinitis improved by oral administration of Galgeungabanha-tang.

Methods

The patient of this case had symptoms such as erythema, abrasions, scales, and itching. She also complained of rhinorrhea, nasal obstruction, cough, sputum, and ear fullness. Considering the fact that she was sensitive to heat, but did not sweat well, and respiratory symptoms often occurred, Galgeungabanha-tang was prescribed.

Results

After medication, the symptoms of atopic dermatitis significantly improved from 10 to 2 point. The subjective symptoms of chronic rhinitis and otitis media with effusion also improved considerably. In addition, nasal swelling and purulent exudate almost disappeared. The tympanic membrane, which was swollen due to amber exudate, also changed to a normal gray-white color.

Conclusions

Atopic dermatitis accompanied by chronic rhinitis and otitis media was improved after 45 days of medication.

Fig. 1

Treatment Timeline

Fig. 2

Clinical Progress of Atopic Dermatitis

Fig. 3

Clinical Progress of Otitis Media with Effusion and Chronic Rhinitis

Prescription of Galgeungabanha-tang

Atopic Dermatitis Symptom Evaluation Index

Chronic Rhinitis Symptom Evaluation Index

Otitis Media with Effusion Symptom Evaluation Index

Clinical Symptom Evaluation Progress of Atopic Dermatitis

Clinical Symptoms Evaluation Progress of Chronic Rhinitis

Clinical Symptoms Evaluation Progress of Otitis Media with Effusion

References

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Article information Continued

Fig. 1

Treatment Timeline

Fig. 2

Clinical Progress of Atopic Dermatitis

Fig. 3

Clinical Progress of Otitis Media with Effusion and Chronic Rhinitis

Table 1

Prescription of Galgeungabanha-tang

Name of natural medicine (herbal medicine) Weight(g)
Zingiber officinale Roscoe 3
Ziziphus jujuba var. inermis (Bunge) Rehder 4
Ephedra sinica Staph 3
Glycyrrhiza uralensis Fisch 3
Cinnamomum cassia (L.) J. Presi 2
Pinellia temata (Thunb.) Makino 6
Paeonia lactiflora Pall. 2
Pueraria lobata (Wild.) Ohwi 4
Total Amount 27

Table 2

Atopic Dermatitis Symptom Evaluation Index

Evaluation Score
Objective symptom Erythema 0=Absence
1=Mild
2=Moderate
3=Severe
Edema/Papule
Oozing/Crusting
Excoriations
Lichenification
Dryness

Subjective Symptom Sleep Loss 0–10
Pruritus

Table 3

Chronic Rhinitis Symptom Evaluation Index

Evaluation Score
Objective symptom Nasal Swelling 0=Absence
1=Mild
Purulent Exudate 2=Moderate
3=Severe

Subjective Symptom Rhinorrhea 0–10
Nasal Congestion
Cough

Table 4

Otitis Media with Effusion Symptom Evaluation Index

Evaluation Score
Objective symptom Tympanic Membrane Swelling 0=Absence
1=Mild
2=Moderate
3=Severe
(Tympanic Membrane color)
Tympanic Membrane Color
Subjective Symptom Ear fullness 0–10

Table 5

Clinical Symptom Evaluation Progress of Atopic Dermatitis

2020.05.04 2020.05.27 2020.06.03 2020.07.08 2020.07.25
Objective Symptom 3 2 1 1 1
Subjective Symptom 7 5 4 2 1
Total 10 7 5 3 2

Table 6

Clinical Symptoms Evaluation Progress of Chronic Rhinitis

2020.05.04 2020.05.27 2020.06.03 2020.07.08 2020.07.25
Objective Symptom 3 2 2 1 1
Subjective Symptom 8 5 3 2 1
Total 11 7 5 3 2

Table 7

Clinical Symptoms Evaluation Progress of Otitis Media with Effusion

2020.05.04 2020.05.27 2020.06.03 2020.07.08 2020.07.25
Objective Symptom 3 (Amber) 2 (Yellow) 2 (Grey-White) 1 (Grey-White) 0 (Grey-White)
Subjective Symptom 5 3 2 1 0
Total 8 5 4 2 0